A client receives a diagnosis of cancer. The client tells a nurse, "The doctor must've mixed my chart up with someone else's". Which stage of grief should the nurse identify when caring for this client?
A) Denial
B) Anger
C) Bargaining
D) Depression
E) Acceptance
A
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The nurse is instructing the client with dried cerumen blocking the ear canal on potential methods to reduce symptoms. Which at home methods of cerumen removal is discouraged?
A) Instilling 1 to 2 drops of half-strength peroxide in the ear B) Using warm glycerin or mineral oil to soften the cerumen C) Removing the cerumen by means of a cotton tip applicator D) Irrigating the ear with warm water and a rubber-bulb syringe
A patient, brought to the emergency department by a girlfriend, is being discharged home. The patient is sleepy from a narcotic injection they received
When doing discharge teaching for this patient, what would be the most appropriate nursing action? A) Give written instructions to patient. B) Give verbal instructions to significant other. C) Call the patient the next day with verbal instructions. D) Give verbal and written instructions to patient and significant other.
A client with asthma reports "not being able to take deep breaths." The nurse auscultates decreased breath sounds in the bases, and no wheezes. What is the nurse's best action?
a. Encourage the client to stay calm and take deep breaths. b. Document the findings and continue to monitor. c. Have the client cough forcefully. d. Assess the client's oxygen saturation.
The nurse on the medical-surgical unit recently received training about identifying and managing risk for violence on the unit. Which client is at the highest risk for exhibiting violent behavior in a clinical setting?
A) A client with the diagnosis of major depressive disorder who refuses to attend groups and unit activities B) A client with a history of violence, admitted with the diagnosis of opioid dependence, but who exhibits no signs of aggression C) A client recovering from hip and knee replacement D) A client who was admitted for gastric bypass operation and is experiencing pain post-surgery